Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Walter J M Pedersen Jr MD PC

Prosthetic/Orthotic Supplier in St Croix, VI · enumerated 2007 · authorized official Walter Pedersen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184808065

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Walter J M Pedersen Jr MD PC

Practice address Sunny Isle Prof Bldg, Suite 3f, St Croix, VI, 00823

Phone (340) 778-6110

Fax (340) 778-2919

Enumeration date Dec 27, 2007

Last updated in NPPES Jul 10, 2012

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 653 (VI) Secondary

335E00000X Prosthetic/Orthotic Supplier Suppliers · License 653 (VI) Primary

Authorized official

Name Walter Pedersen

Title President

Phone (340) 778-6110

Other identifiers

Identifier	Type	State	Issuer
VI000011	Other	VI	TRICARE
0500138	Other	VI	HUMANA
170823200	Other	VI	USDL
1780671909	Other	VI	NPI
53699PE	Other	VI	TRIPLE-S
089045	Other	VI	BCBSVI
1184808065	Other	VI	NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-07-10. Verify at npiregistry.cms.hhs.gov.

Where is Walter J M Pedersen Jr MD PC located?

The practice location on file with NPPES is in St Croix, VI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-10.